Improving healthcare professionals' ultrasound-guided peripheral vascular access ability utilizing self-assembled ultrasound phantoms: A prospective, observational quality improvement project.

IF 1.6 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Vascular Access Pub Date : 2025-05-01 Epub Date: 2024-05-27 DOI:10.1177/11297298241254633

Phillip W Bullington, James R Reed, Derek L Owens, Janet L Rothers, Gloanna J Peek, Christopher Herring

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引用次数: 0

Abstract

Background: Ultrasound guidance can reduce the number of attempts to gain peripheral IV access while improving the success rate and satisfaction in patients with difficult IV access. Education and simulation are effective tools for improving the skills and knowledge related to ultrasound-guided peripheral IV access. Ultrasound phantom models allow for skill development without the risk of patient harm.

Methods: Twenty-nine registered nurses and nurse practitioners were recruited for education and simulation regarding ultrasound-guided peripheral IV (USGPIV) placement. Participants completed a survey evaluating the efficacy of the phantom models in addition to pre- and post-intervention confidence, perceived competence, knowledge surveys, and a Directly Observed Procedural Skills Evaluation (DOPSE). The intervention included an educational PowerPoint and open practice session using the phantom models.

Results: Statistically significant improvements were found in participants' confidence (p < 0.001; 95% CI: 5.287, 9.499; d = 1.31), perceived competence (p < 0.001; 95% CI: 1.231, 2.742; d = 1.20), knowledge (p < 0.001; 95% CI: 1.079, 2.163; d = 1.47), and skills (p < 0.001; 95% CI: 2.499; 5.501; d = 1.29). Participants improved in maintaining needle visualization (p < 0.001; 95% CI: 0.272, 0.9; d = 0.79) and decreasing their cannulation attempts (0.045; 95% CI: 0.013, 1.022; d = 0.48). Participants with no and novice experience saw statistically significant improvement across all categories (p < 0.02) compared to those with intermediate, advanced, or expert experience with ultrasound. 96.5% of participants could perform ultrasound-guided peripheral IV cannulation independently or with indirect supervision following the intervention.

Conclusions: At $36.52 per model, the self-assembled ultrasound phantom models provided a cost-effective and sustainable solution to teaching ultrasound-guided peripheral IV cannulations. Education and simulation for ultrasound-guided peripheral vascular access may benefit individuals with no or novice ultrasound experience.

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利用自组装超声模型提高医护人员的超声引导外周血管通路能力：前瞻性观察质量改进项目。

背景：超声引导可减少外周静脉通路的尝试次数，同时提高静脉通路困难患者的成功率和满意度。教育和模拟是提高超声引导下外周静脉通路相关技能和知识的有效工具。超声模拟模型可以在不伤害患者的情况下进行技能培训：方法：招募了 29 名注册护士和执业护士参加有关超声引导下外周静脉输液（USGPIV）置管的教育和模拟活动。除了干预前后的信心、感知能力、知识调查和直接观察操作技能评估（DOPSE）外，参与者还完成了一项评估模型有效性的调查。干预措施包括教育 PowerPoint 和使用模型的公开练习课程：结果：参与者的信心（p d = 1.31）、能力感知（p d = 1.20）、知识（p d = 1.47）和技能（p d = 1.29）均有明显改善。参与者在保持针头可视性（p d = 0.79）和减少插管尝试（0.045；95% CI：0.013，1.022；d = 0.48）方面都有所提高。没有经验和新手的参与者在所有类别中都有显著的统计学改进（P 结论）：每个模型的价格为 36.52 美元，自行组装的超声模型为超声引导下外周静脉插管教学提供了一种经济有效且可持续的解决方案。超声引导下外周血管通路的教育和模拟可使没有超声经验或初学者受益。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.